Publications by authors named "S Pew"

Article Synopsis
  • Bracing is an effective non-surgical option for managing chronic spinal issues like spondylosis and degenerative disc disease, with various types of orthoses tailored for different spinal regions.
  • The review discusses specific cervical brace options (soft and rigid collars) and the considerations for choosing one based on injury severity and neurological status.
  • It emphasizes the need for clinicians to consider bracing among other treatment strategies to help alleviate chronic neck and lower back pain, thus improving patient function.
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Purpose Of Review: Cervical spine pain with or without radicular symptoms is a common condition leading to high utilization of the healthcare system with over 10 million medical visits per year. Many patients undergo surgical interventions and unfortunately are still left with neck and upper extremity pain, sometimes referred to as "Failed Neck Surgery Syndrome." When these options fail, cervical spinal cord stimulation can be a useful tool to decrease pain and suffering as well as reduce prescription medication use.

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Purpose Of Review: This literature review critically examines existing studies on cervical spinal cord stimulation (cSCS) for the treatment of chronic pain. The objective is to evaluate the current evidence, identify knowledge gaps, and collate data to inform clinical decision-making and suggest future research avenues. The review covers indications, contraindications, surgical and anesthetic approaches, trials, efficacy, and complications of cSCS.

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Article Synopsis
  • Persistent spinal pain syndromes are common and can lead to significant health issues and high costs, with various causes including mechanical, degenerative, and inflammatory factors.
  • Regenerative medicine, using treatments like platelet-rich plasma and stem cells, aims to address these pain issues by reducing inflammation and restoring normal function through guided injections.
  • Current research on the effectiveness of regenerative medicine for spine pain is limited and calls for larger, well-designed studies to better establish its efficacy compared to traditional treatments.
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Radiofrequency ablation (RFA) is a treatment modality used in interventional pain management to treat several conditions including chronic neck or back pain, sacroiliac joint pain, major joint pain, and pain from sites that can be isolated to a sensory nerve amenable to RFA. The goals of such procedures are to reduce pain, improve function, delay need for surgical intervention, and reduce pain medication consumption. As applications for RFA expand through novel techniques and nerve targets, there is concern with how RFA may impact patients with implanted medical devices.

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